ANTHONY D BERGMANN (NPI# 1184723504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184723504 |
| Entity Type | Individual |
| Full Name | ANTHONY D BERGMANN |
| Credential | PAC |
| Practice Address |
1700 W Stout St Rice Lake WI 54868-5000 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5777 |
| Practice Telephone | 7152368100 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1053023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42973800 | 05 |
| Street Address |
1700 W STOUT ST |
| City | RICE LAKE |
| State | WI |
| Zip Code | 54868-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608352 | Jeffrey J Anderegg | Anesthesiology | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2005-06-13 |
| 1598382061 | Shelly Renee Anderson | Nurse Practitioner | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2020-07-01 |
| 1790320687 | Lakeview Medical Center, Inc. of Rice Lake | Clinic/Center | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-11-14 |
| 1114578457 | Kayla Lynn Jenness | Registered Nurse | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-09-27 |
| 1962059709 | Norsha May Scheil | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-08-26 |
| 1336791748 | Kelsey Kristine Hansen | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-07-15 |
| 1154888691 | Anika Whiting | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-02-20 |
| 1861975211 | Kari Flom | Dietitian, Registered | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2018-09-12 |
| 1760963862 | Elizabeth Bohrer | Student in an Organized Health Care Education/Training Program | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2018-08-27 |
| 1750861191 | Stephanie Guest | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868 | 2018-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170791 | Samantha Barg | Physical Therapist | 1035 N. Main Street, Rice Lake, WI 54868 | 2019-05-29 |
| 1023597531 | Alison Joe Thorpe | Respite Care | 336 Gerland Rd, Rice Lake, WI 54868 | 2018-08-07 |
| 1669997946 | Char Mlejnek | Registered Nurse | 1700 W. Stout Street, Rice Lake, WI 54868 | 2017-08-08 |
| 1801344650 | Cumberland Memorial Hospital Inc | Occupational Therapist | 1895 20 1/2 Avenue, Rice Lake, WI 54868 | 2016-09-21 |
| 1851849814 | Leroy A Odden | Registered Nurse | 2135 20 1/8 Ave, Rice Lake, WI 54868 | 2016-09-19 |
| 1871903799 | Courtney Lange | Occupational Therapist | 910 Bear Paw Avenue, Rice Lake, WI 54868 | 2014-04-30 |
| 1063859130 | Mikeal Robert Ostrander | Optometrist | 320 County Highway O, Shopko Optical, Rice Lake, WI 54868 | 2013-05-30 |
| 1487976239 | Dale Henry Pracht | Pharmacist | 2601 South Main St, Kmart Pharmacy, Rice Lake, WI 54868 | 2010-02-22 |
| 1104159870 | Dianne Marie Thompson | Hearing Instrument Specialist | 212 S. Main St., Rice Lake, WI 54868 | 2009-09-14 |
| 1760646806 | Lori Ann Click Gray | Pediatrics | 736 Pine Place, Rice Lake, WI 54868 | 2008-07-17 |
| Find all providers in zip 54868 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457305781 | Kay Loree Case | Physician Assistant | 331 S Main St Ste H, Rice Lake, WI 54868-2253 | 2006-05-20 |
| 1962059709 | Norsha May Scheil | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-08-26 |
| 1336791748 | Kelsey Kristine Hansen | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-07-15 |
| 1154888691 | Anika Whiting | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-02-20 |
| 1750861191 | Stephanie Guest | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868 | 2018-08-15 |
| 1487147054 | Bailey Yeager | Physician Assistant | 1051 West Ave, Rice Lake, WI 54868 | 2018-06-08 |
| 1881079739 | Thomas Lewis | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2015-07-21 |
| 1164849790 | Ashley Jo Mcwalter | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2014-03-20 |
| 1912136581 | Duane C Oftedahl | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2009-07-04 |
| 1912148404 | Kate S Flood | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2009-03-13 |
| Find all providers in RICE LAKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.